原夫玄黄肇剖，天地攸分，万汇毕陈，人类始出。吾人含生负气，孑身于高浓之间，
寒暑乘其外，阴阳薄其中，彼其疾病夭折，不得其正命而死者，奚堪胜数。自神农尝百草而
知物性，轩辕询岐伯而着《灵枢》、《素问》，是由《本草》、《内经》之学，始灿然大备。其
后春秋战国时，有和缓扁鹊之徒，汉代有淳于意、郭玉之辈，皆挟方术，以治人疾病。或以
生气决生死；或以针灸起沉 。史策所载，班班可考。惟皆传其轶事，而不获睹其方书，读
者憾焉。仲景氏生于有汉桓灵之间，会当大疫，乃始有《伤寒论》暨《金匮》玉函之作，惟
专重方药，犹未若伤佗之刳肠湔胃，用法奇而奏效尤速也。余秉资羸弱，日与药炉相炙近。
既博综群籍，汇集古方，有《千金要方》暨《千金翼方》之作。日者隐居终南山麓，有以方
书见遗者，余展卷读之，审为华先生之作，其中所用为治病之法，舍方剂之外，兼重针灸与
洗伐，且所用各药，取材于日用之品为多，而步武不难，诚救世之秘籍，而生死人肉白骨之
奇籍也。惟原书编制散乱，门类错杂，盖系随时手录之本，且文本有难解之处，字迹多漶漫
之忧，非尽人所能索解。余端居多暇，尤性耽方术，得兹鸿宝，苟不为之从事排比，奚以传
先贤之妙术，而登斯民于耄耆。乃日事铅椠，散者集之，蚀者补之，期以不负先生济世之苦
心，庶贻之子孙，播之人间，自兹元元之民，或得保其正命，不为寒暑阴阳所播荡乎。
永淳元年仲春 孙思邈识于终南山下
当初天地开辟，玄色与黄色（指天与地）开始分离，万物呈现，人类由此诞生。我们人禀受生命之气，孤独地生活在天地之间，外界的寒暑侵袭身体，体内的阴阳相互激荡，那些因疾病早逝、未能享尽天年而死的人，多得数不胜数。自从神农氏品尝百草以了解药物性质，轩辕黄帝向岐伯请教并撰写了《灵枢》和《素问》，于是《本草》和《内经》的学问才变得灿烂完备。此后在春秋战国时期，有俞跗、缓、扁鹊这类医生，汉代有淳于意、郭玉等人，他们都掌握医术方技，用来治疗人们的疾病。有的凭借脉气来判断生死；有的用针灸使重病者起死回生。史书所载，清晰可考。只是都流传他们的逸闻趣事，而未能看到他们的医方书籍，读者对此感到遗憾。张仲景生于东汉桓帝、灵帝之间，恰逢大瘟疫流行，才开始撰写《伤寒论》以及《金匮玉函经》，只是特别重视方药，还比不上华佗剖开肠胃进行清洗，用法奇特且疗效尤其迅速。我资质羸弱，每天与药炉相伴。既然广泛综合各类典籍，汇集古代方剂，便有了《千金要方》和《千金翼方》的著作。日前隐居在终南山脚下，有人将医方书赠送给我，我展开卷册阅读，仔细辨认认为是华佗先生的作品。其中所用的治病方法，除了方剂之外，还兼重针灸和洗法、伐法（一种外治法），而且所使用的各种药物，大多取材于日常用品，模仿实行不难，这确实是救世的秘籍，是能让死人复生、白骨长肉的奇书。只是原书的编制散乱，门类错杂，大概是随时手录的底本，并且文本中有难以理解之处，字迹多有模糊漫漶的担忧，不是所有人都能解读明白。我闲居在家，空闲较多，尤其喜好方术，得到这样的珍宝，如果不为此从事整理编排，怎么能传承先贤的精妙医术，而使百姓得以长寿安康呢？于是每日从事校勘书写工作，将散乱的收集起来，被虫蚀的补全它，期望不辜负先生济世救人的苦心，或许可以留给子孙，传播到人间，从此老百姓，或许能够保全其自然寿命，不被寒暑阴阳所侵扰吧。
永淳元年二月 孙思邈记于终南山下
In the beginning, when Heaven and Earth (Xuanhuang) were separated, all things manifested, and humanity emerged. We humans, endowed with life and Qi, stand solitary between the high heavens and the thick earth. External cold and heat invade us, while internal Yin and Yang press upon each other. Those who die prematurely from diseases, failing to fulfill their natural lifespan, are too numerous to count. Since Shennong tasted hundreds of herbs to understand their properties, and Xuanyuan (the Yellow Emperor) consulted Qibo to compose the *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions), the studies of *Ben Cao* (Materia Medica) and *Nei Jing* (Inner Canon) became brilliantly complete. Thereafter, during the Spring and Autumn and Warring States periods, there were physicians like Yu Fu, Huan, and Bian Que; in the Han Dynasty, there were figures such as Chunyu Yi and Guo Yu. All possessed medical arts and techniques to treat human diseases. Some determined life and death through pulse assessment; others revived critical patients using acupuncture and moxibustion. What is recorded in historical texts is clear and verifiable. However, only their anecdotes were transmitted, while their medical formula books were not seen, leaving readers regretful. Zhang Zhongjing was born between the reigns of Emperors Huan and Ling of the Eastern Han. When a great plague occurred, he began to write the *Shanghan Lun* (Treatise on Cold Damage) and the *Jingui Yufan* (Golden Cabinet Jade Box). He focused specifically on herbal formulas, yet his approach did not match the surgical brilliance of Hua Tuo, who performed intestinal lavage, using methods that were peculiar and yielded particularly rapid effects. I am naturally frail and spend my days near the medicine stove. Having extensively studied various classics and compiled ancient formulas, I produced the *Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold) and *Qianjin Yifang* (Supplement to the Prescriptions Worth a Thousand Gold). Recently, while living in seclusion at the foot of Mount Zhongnan, someone presented me with a medical manuscript. Upon unrolling and reading it, I carefully examined it and concluded it was the work of Master Hua. The therapeutic methods used therein, besides herbal formulas, also emphasize acupuncture and external treatments such as washing and scraping (Xifa). Moreover, the herbs used are mostly sourced from daily necessities, making them easy to replicate. It is indeed a secret manual for saving the world, a miraculous text capable of reviving the dead and restoring flesh to bones. However, the original compilation is disorganized, with mixed categories, likely being a draft recorded at various times. Furthermore, parts of the text are difficult to understand, and many characters are blurred or illegible, making it inaccessible to most. With ample leisure time at home and a particular passion for medical arts, having obtained this treasure, if I do not engage in its collation and arrangement, how can I transmit the profound skills of the sages and bring longevity to the people? Thus, day by day, I engaged in proofreading and writing: gathering scattered parts, supplementing damaged sections, hoping not to fail Master Hua’s earnest intention to save the world. In this way, it may be passed down to descendants and disseminated among the people, so that the common folk might preserve their natural lives, undisturbed by the vicissitudes of cold, heat, Yin, and Yang.
Recorded by Sun Simiao under Mount Zhongnan, Second Month of the First Year of Yongchun